Tai Chi & Qigong Class and Workshop Registration
Preregistration is required. Space is Limited.
Please print and mail this registration form with your check payable to
Embrace the Moon, 1716 NW Market, Seattle, WA 98107
We thank you for understanding that all fees, once paid, are non-refundable.
Name
Address
City, State Zip
Phone Email
Emergency Contact
Please indicate the class / workshop you are interested in attending:
 
Please indicate your health concerns:
 
 
What would you like to gain from your classes and workshops?
 
 
Session / Workshop and dates attending:
 
Winter classes run 10 weeks unless otherwise noted.
Those under 18 or over 70, take 50% off session prices.
New? Curious? Try unlimited classes for two weeks for $25.
For those taking both Tai Chi/Qigong & Yoga, take 10% off your combined package rate.
New students may join any time at a pro-rated session fee.
2 week class tryout $25  

Tai Chi/Qigong (must be used within session)
1x/week or 10 classes/session $165;
2x/week or 20 classes/session $225;
Unlimited classes $335

Holiday Makers: 10 classes (with 3 month expiration) - $180

 
Workshop in full (see workshop)
 
Workshop deposit 50% (non-refundable)
Total Enclosed:
(cash or check only)
How did you hear about Embrace the Moon?
Would you like to be added to our confidential email notice for future workshops and classes?
We never sell or share our list. ___ yes ___ no

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